Leucine-rich alpha-2-glycoprotein 1 deficiency suppresses ischemia–reperfusion injury-induced renal fibrosis

Abstract Ischemia reperfusion injury (IRI) is a major cause of acute kidney injury (AKI) and ultimately leads to renal fibrosis, primarily via the transforming growth factor-β (TGF-β) pathway. Leucine-rich alpha-2-glycoprotein 1 (LRG1), a novel modulator of the TGF-β pathway, has been implicated in...

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Main Authors: Naohito Okami, Hiromichi Wakui, Kengo Azushima, Tomohito Miyazawa, Eisuke Kubo, Shunichiro Tsukamoto, Mari Sotozawa, Shinya Taguchi, Shingo Urate, Kohei Ishiga, Sho Kinguchi, Tomohiko Kanaoka, Kouichi Tamura
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-84798-y
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author Naohito Okami
Hiromichi Wakui
Kengo Azushima
Tomohito Miyazawa
Eisuke Kubo
Shunichiro Tsukamoto
Mari Sotozawa
Shinya Taguchi
Shingo Urate
Kohei Ishiga
Sho Kinguchi
Tomohiko Kanaoka
Kouichi Tamura
author_facet Naohito Okami
Hiromichi Wakui
Kengo Azushima
Tomohito Miyazawa
Eisuke Kubo
Shunichiro Tsukamoto
Mari Sotozawa
Shinya Taguchi
Shingo Urate
Kohei Ishiga
Sho Kinguchi
Tomohiko Kanaoka
Kouichi Tamura
author_sort Naohito Okami
collection DOAJ
description Abstract Ischemia reperfusion injury (IRI) is a major cause of acute kidney injury (AKI) and ultimately leads to renal fibrosis, primarily via the transforming growth factor-β (TGF-β) pathway. Leucine-rich alpha-2-glycoprotein 1 (LRG1), a novel modulator of the TGF-β pathway, has been implicated in the modulation of renal fibrosis by affecting the TGF-β/Smad3 signaling axis. However, the role of LRG1 in the transition from AKI to chronic kidney disease (CKD) remains unclear. This study aimed to investigate the functional role of LRG1 during the remodeling phase post-IRI. Unilateral IRI was induced in C57BL/6J wild-type (WT) mice and systemic LRG1 knockout (KO) mice. In C57BL/6J WT mice, renal LRG1 mRNA expression was significantly elevated on the ischemia/reperfusion side compared to the sham side over a 28-day period. In contrast, LRG1 KO mice demonstrated significantly reduced renal fibrosis compared to WT mice on postoperative day 28. Additionally, renal mRNA expression of TGF-β and associated pro-fibrotic genes was diminished in LRG1 KO mice compared to WT mice. Consequently, LRG1 KO mice exhibited attenuated IRI-induced chronic fibrosis. These findings indicate that LRG1 is involved in the pathogenesis of the transition from AKI to CKD and may be a potential therapeutic target.
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spelling doaj-art-0b64ed85ad424e67a51ce8038327295b2025-01-12T12:23:10ZengNature PortfolioScientific Reports2045-23222025-01-0115111110.1038/s41598-024-84798-yLeucine-rich alpha-2-glycoprotein 1 deficiency suppresses ischemia–reperfusion injury-induced renal fibrosisNaohito Okami0Hiromichi Wakui1Kengo Azushima2Tomohito Miyazawa3Eisuke Kubo4Shunichiro Tsukamoto5Mari Sotozawa6Shinya Taguchi7Shingo Urate8Kohei Ishiga9Sho Kinguchi10Tomohiko Kanaoka11Kouichi Tamura12Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of MedicineDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of MedicineDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of MedicineDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of MedicineDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of MedicineDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of MedicineDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of MedicineDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of MedicineDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of MedicineDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of MedicineDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of MedicineDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of MedicineDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of MedicineAbstract Ischemia reperfusion injury (IRI) is a major cause of acute kidney injury (AKI) and ultimately leads to renal fibrosis, primarily via the transforming growth factor-β (TGF-β) pathway. Leucine-rich alpha-2-glycoprotein 1 (LRG1), a novel modulator of the TGF-β pathway, has been implicated in the modulation of renal fibrosis by affecting the TGF-β/Smad3 signaling axis. However, the role of LRG1 in the transition from AKI to chronic kidney disease (CKD) remains unclear. This study aimed to investigate the functional role of LRG1 during the remodeling phase post-IRI. Unilateral IRI was induced in C57BL/6J wild-type (WT) mice and systemic LRG1 knockout (KO) mice. In C57BL/6J WT mice, renal LRG1 mRNA expression was significantly elevated on the ischemia/reperfusion side compared to the sham side over a 28-day period. In contrast, LRG1 KO mice demonstrated significantly reduced renal fibrosis compared to WT mice on postoperative day 28. Additionally, renal mRNA expression of TGF-β and associated pro-fibrotic genes was diminished in LRG1 KO mice compared to WT mice. Consequently, LRG1 KO mice exhibited attenuated IRI-induced chronic fibrosis. These findings indicate that LRG1 is involved in the pathogenesis of the transition from AKI to CKD and may be a potential therapeutic target.https://doi.org/10.1038/s41598-024-84798-yIschemia–reperfusion injuryAcute kidney diseaseFibrosisLeucine-rich alpha-2-glycoprotein 1Transforming growth factor β
spellingShingle Naohito Okami
Hiromichi Wakui
Kengo Azushima
Tomohito Miyazawa
Eisuke Kubo
Shunichiro Tsukamoto
Mari Sotozawa
Shinya Taguchi
Shingo Urate
Kohei Ishiga
Sho Kinguchi
Tomohiko Kanaoka
Kouichi Tamura
Leucine-rich alpha-2-glycoprotein 1 deficiency suppresses ischemia–reperfusion injury-induced renal fibrosis
Scientific Reports
Ischemia–reperfusion injury
Acute kidney disease
Fibrosis
Leucine-rich alpha-2-glycoprotein 1
Transforming growth factor β
title Leucine-rich alpha-2-glycoprotein 1 deficiency suppresses ischemia–reperfusion injury-induced renal fibrosis
title_full Leucine-rich alpha-2-glycoprotein 1 deficiency suppresses ischemia–reperfusion injury-induced renal fibrosis
title_fullStr Leucine-rich alpha-2-glycoprotein 1 deficiency suppresses ischemia–reperfusion injury-induced renal fibrosis
title_full_unstemmed Leucine-rich alpha-2-glycoprotein 1 deficiency suppresses ischemia–reperfusion injury-induced renal fibrosis
title_short Leucine-rich alpha-2-glycoprotein 1 deficiency suppresses ischemia–reperfusion injury-induced renal fibrosis
title_sort leucine rich alpha 2 glycoprotein 1 deficiency suppresses ischemia reperfusion injury induced renal fibrosis
topic Ischemia–reperfusion injury
Acute kidney disease
Fibrosis
Leucine-rich alpha-2-glycoprotein 1
Transforming growth factor β
url https://doi.org/10.1038/s41598-024-84798-y
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